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SAN JOAQUIN COUNTY noFly <br /> :a ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br /> Telephone: (209) 468-3420 Fax: (209)464-0138 Web:www.sigov.org/ehd <br /> L/FOR <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility:' ,� Date: <br /> Address: 13 City: Zip Code: Gr 53� <br /> Owner/Operator: Telephone: <br /> Program Element: Program Record: 1 ` Inspection Type: <br /> SB180 Posted ❑Yes ❑ Rermit Posted ❑Yes Cl I Re-Inspoction on or After. <br /> I <br /> y t BSE�'VAT1t PIS ANS L�R�EGTtVE AtllO <br /> :. ,. .�.r. : S <br /> co `I l b 1 C" 9� <br /> ve'�-Q` n he L cN U-A i <br /> `n 5 <br /> E � <br /> \Rt � <br /> 2 - - <br /> 1-z <br /> AA-0- ,..An <br /> '� PNs a p TeRi►.:,p tUr$: Item ` tJGc�tlCSr1 "" :Ternpe'ature': <br /> v-y' 7lerllll C7Catloll D n...i M.. k <br /> 17 <br /> For3daf@tyCartitiabnnFacilltyHoWat temperature arvsrasfti�rtg ? t + s <br /> . __fi , ._.,..w <br /> Name: Hand Sink: °F Chlorine. ppm Heat: `F <br /> Exp.Date: Warewashing Sink: `F Quat.Amm.: ppm Other: -F <br /> Received By!Title: 4.� <br /> CbvQ. <br /> EH Specialist: t Phone: <br /> Time in: � Time Out: i 1 Pagel of <br /> EH016-24 (2"dpg) 413113 FOOD PROGRAMOIRCONTINUATION <br /> I <br /> 1 <br />